Fungal Infections

Rhinoporodiosis

It is a fungal granuloma caused by rhinosporodium seeberi. It is seen in India, Pakisthan, and Srilanka. In india, most of the cases are seen in Southern states though several cases have also been reported from other parts of the country.

Clinical Features

the disease mostly affects nose and nasopharynx; other sites such as lip, palate, conjunctiva, epiglottis, larynx, trachea, bronchi, skin, vulva, and vagina may also be affected.

The disease is acquired through contaminated water of pounds frequented also by animals. In the nose , the disease presents as a leafy, polypoidal mass,pink to purple in colour and attached to nasal septum or lateral wall. Sometimes it extendeds into the nasopharynx and may hang behind the soft palate. The mass is very vascular and bleeds easily on touch. Its surface is studded with white dots representing the sporangia of fungus.

In early stages the patient may complain of nasal discharge which is often blood tinged or nasal stuffiness. Sometimes frank epistaxis is the only presenting complaint.

Treatment

Endoscopic excision – Dopsone can be tried high rate of recurrence can be expected in advance cases.

Timings

Our Area of Expertise

First Centre in Kerala and one of the pioneer institutes in India to conduct the DRAF3 surgery which is the best and the latest available surgical solution for the repeated problem of nasal polyps and fungal sinusitis.